16th Annual Trauma Conference

TRAUMA CENTER ASSOCIATION OF AMERICA 16th Annual Trauma Conference November 5th-8th, 2013 The Peppermill Resort, Casino and Spa Reno, Nevada

Accommodations at The Peppermill Casino & Spa With sweeping views of Reno's cityscape and the breathtaking Sierras, our 600 Tuscany Tower suites combine old-world splendor with sophisticated, contemporary hotel amenities to create an unforgettable experience. Handpainted Italian art and private foyers provide an elegant, personal space. From the outside, Peppermill Casino Hotel's Tuscany Tower is a modern glass structure, reflecting sun and sky. But from the inside, it reflects the classic style of Tuscan luxury. Warm colors evoke rolling green and umber Italian hillsides. Plush hotel room interiors offer peace and comfort. Peppermill Resort Hotel Casino offers a wide range of destination resort features that help provide our guests with award-winning hospitality, convenience, and enjoyment. Whether you re looking for an easier way to check in and out, quick and easy Wi-Fi connectivity, or to find your way around the property - even before you get here, our Resort Features are at your service. Local Attractions Reno, Nevada: The Biggest Little City in the World What began as a small community built to serve westward travelers in the mid-1800s has become a bustling city that acts as the gateway to northern Nevada, aptly known as "the Biggest Little City in the World." Within an hour's drive, there are 15 ski resorts, 50 golf courses, Lake Tahoe, the state capital Carson City, thousands of biking and hiking trails, several lakes that are perfect for fishing and boating, and the entire length of the Truckee River, which runs right through the center of Reno's downtown. Couple those activities with Reno's hotels and casinos, plus a growing nightlife, and you have the perfect place to visit for a few days and enjoy some recreation. Kayakers can enjoy the Truckee River Whitewater Park (the centerpiece of the annual Reno River Festival), conveniently located downtown next to an eclectic mix of shops and eateries. Car enthusiasts should visit the National Automobile Museum if they can t make it to Hot August Nights, Reno s famous classic-car event. Visit the downtown Triple-A baseball stadium in Verdi. Downtown Reno is Reno's most popular area for bars and clubs. However, there are a few other hotspots including East Fourth Street, Wells Avenue, the UNR area, Kietzke Lane, and all along South Virginia Street. Most neighborhoods also have their local bars, sports bars, or breweries mainly in strip malls. The casinos, Pioneer Center, Bruka Theatre, La Bussola, Sierra Arts and the Reno Events Center also provide numerous concerts, art events, plays, and shows as well.

Trauma Center Association of America Annual Meeting The TCAA Annual Meeting has become the place to be for trauma center leaders nationwide. This meeting provides updates on national issues affecting Trauma Center designation, finances, and advocacy. The national faculty offer a wide array of timely topics from federal regulations to immediate bed availability. Solutions and tactics will be offered to assure trauma centers have the resources they need to maintain their programs. Best Practice posters will be displayed at the poster reception and annual meeting. These posters will feature fiscal, marketing, injury prevention and other successful trauma program innovations that are readily transferrable to your center. On the second day, a luncheon will feature TCAA Committee meetings such as Reimbursement, Education, and Disaster Preparedness to assist you in learning about TCAA s projects and initiatives. Attendance will re-energize and prepare participants to fulfill their professional goals as well as achieve those of their trauma program. Ample time for networking is afforded as well. Trauma leaders benefit most by participating as a team. The different aspects learned by each participant promotes strong team building. TCAA will offer CMEs and Nursing CEU s for those attending the meeting along with additional time to explore Reno. COURSE AGENDA & FACULTY Tuesday, November 5th, 2013 7:50 Welcome and Logistics Blaine Enderson, President, TCAA 8:00 Health Reform Implementation in Full Swing -- What's Happening Now, Predictions for the Future, and Impact on Trauma Centers Lisa Tofil, Holland & Knight 9:00 Burn Surge and MSRT Gregg Lord, HHS/ASPR/ECCC 10:00 Break 10:15 Was Green, Now Orange, What's Changed? Chris Cribari, Chair, VRC - ACS/COT 12:00 Annual Business Meeting 1:00 ACO's: What Are They and Are There Implications for Trauma Centers? Dan Gross, Sharp Healthcare 1:45 2012 TCAA Poster Winner R Adams Shock Trauma Center Hospital-Based Prevention Program Ruth Adeola, R Adams Cowley Shock Trauma Center 2:15 Acute Care Surgeon Model Mary Ellen Zimmerman, NY Hospital Queens & Gregory Jurkovich, Denver Health 3:00 Break 3:15 Exemplar Innovations Creation of a Nursing Research Committee Promotes Evidence Based Practice Lacy Phillips, UMC Health System Pediatric Trauma Education for Adult Trauma Surgeons Terri Elsbernd, Mayo Clinic Rochester A Novel Trauma Leadership Model Reflective of Changing Times Cecile D Huyvetter, Gundersen Lutheran The Development of a Trauma System of Care: The Centura Health Experience Charles Maines, St. Anthony Hospital, Centura Heath System 6:00 Poster Reception COURSE AGENDA & FACULTY Wednesday, November 6th, 2013 7:45 Welcome and Poster Winners Blaine Enderson, President, TCAA 8:00 Presidential Address Blaine Enderson, President, TCAA 8:45 IBA: The New Medical Surge David Marcozzi, HHS/ASPR 9:30 Trauma Team Activation without Pre- Notification Yes, You Can Charge Valerie Rinkle, HRAA 10:00 Break 10:15 Integrating Trauma Systems in Disaster Preparedness David Marcozzi, HHS/ASPR 11:00 Lean Six Sigma Vickie Kamataris, Guthrie Health & Lisa Falcone, Robert Wood Johnson University Hospital 11:40 Exemplar Innovations Physician Compensation: An Alternate Method of Payment Craig Rhyne, Covenant Health System Electronic Trauma Resuscitation Charting: How Does This Impact Documentation Completeness Lynn Eastes, Oregon Health Sciences University Pediatric Trauma Transformation Collaborative Richard Falcone, Children s Hospital Medical Center Cincinnati 12:45 Annual Luncheon Committee Meetings

Trauma Center Finance & Business Planning Course If you don t speak the language of finance and business planning, you are not enjoying the empowerment you deserve. The TCAA Finance and Business Planning Course offers both basic and advanced finance and economic principles. Lectures feature reality-based trauma program cases and essential steps in business planning. You will practice strategies for presenting information to executive leadership to build your trauma program s stature and self-governance. Small group projects with an accomplished mentor will help you develop a distinctive business case that assures you will leave able to apply the lessons learned in the in-depth didactic sessions. Trauma Business Case Exercise: Small groups will review cases from one of the scenarios: Trauma Center Level Upgrade, Start-up Trauma Center, Competition, and Downgrade/Program Survival. Data for each case will include: volume, ISS (severity) and payor mix, potential market, physician issues/costs, staffing and resources. Business plans and PowerPoint presentations will be developed and presented to the panel of CEO/Administrators. Each presentation will include a case-based business plan, data analysis, interpretation and graphic display. CME s and Nursing CEU s will be available upon request. Basic Track 7:00 Registration & Continental Breakfast 8:00 Trauma Finance 101 Jennifer Ward, TCAA 8:50 Managing Your CEO, Board of Directors, & Other Leaders: Marketing your Trauma Services Dan Gross, Sharp Healthcare 9:40 Break 10:00 Trauma Financial Challenges: Managing Revenue, Costs & Physician Relations John Osborn, Mayo Clinic 10:50 The Annual Trauma Report: Making it work for you Robert Falcone, Ohio State University COURSE AGENDA Thursday, November 7th, 2013 12:00 Lunch (provided) Advanced Track 7:00 Registration & Continental Breakfast 8:00 Building your Business Plan and Selling It Robert Falcone, Ohio State University 8:50 Managing Provider Relations: Trauma Patient Contracting & Monitoring Reimbursement Valerie Rinkle, Valerie Rinkle, HRAA 9:40 Break 1:00-5:00 Trauma Business Case Exercises 10:00 Trauma Service Line: What it can do for you and How to do it Michele Ziglar, President, Trauma Services, HCA 10:50 Coding and Documentation for the Physician Diana Rick, D.R.S., Billing Professionals Networking Events Arrange your travel to allow time to attend the Committee Luncheon, Poster Reception and the Annual Member Meeting Tuesday, November 5, 2013 Participants are invited to join the TCAA Board and Faculty for our Annual Member Luncheon Meeting at noon and Poster Reception from 6:00pm 8:00pm at the Peppermill Resort, Spa and Casino. Wednesday, November 6, 2013 Please plan to attend the Annual Committee meetings as well on November 6th, 2013. Tuition includes admission to all events. Guests may attend for an additional fee. Please contact TCAA staff at (575) 525-9511 for additional information.

Trauma Trauma Center Medical Management Director Course Course New All-Inclusive Program for the Entire Trauma Team This course is designed to assist the leaders and participants in trauma centers to develop and sustain their operational processes to ensure successful program management. The course targets participation from regulatory agencies, physicians, nurses, pre-hospital providers, administrators, prevention experts, educators and registry staff. The primary goals of the course are to share the processes that foster development, improvement, sustainment and management of regional trauma systems and trauma centers. CME's and Nursing CEU's will be available upon request. COURSE AGENDA Thursday, November 7th, 2013 Friday, November 8th, 2013 8:00 Trauma Center Commitment 8:45 Trauma Service Oversight \ 9:30 Trauma Center Financial Management 10:15 Break 10:30 Trauma Performance Improvement 11:15 Trauma Registry Management 11:45 Injury Prevention / Education 12:15 Lunch 1:15 Trauma Center EMS Collaboration 1:45 Trauma Center Disaster Response 2:30 Trauma Psychosocial Programs 3:00 Break Breakout Session A: 3:15-3:45 Critical Care Services Oversight 3:45-4:15 Orthopedic Services Oversight 4:15-4:45 Pediatric Services 4:45-5:15 Geriatric Services Breakout Session B: 3:15 5:15 Trauma Performance Improvement: Building a Successful Program Event Identification Integrating the New Terminology Tools for Success PI Management Breakout Session C: 3:15 4:15 Trauma Psychosocial Programs: Trauma Patient Support Trauma Family Support Trauma Staff Support Child Life Specialist Interventions 4:15 5:15 Challenging Clinical Cases 8:00 Physician Contracts 8:30 Mid-Level Billing 9:00 Trauma Center Marketing 9:30 Trauma Program Budget 10:00 Break 10:15 Trauma Program Models: Levels I - IV 11:30 Lunch 12:30 Trauma Center Verification 1:00 Survey Process 1:30 Panel Questions 2:00 Break Breakout Session A: 2:15-3:45 Documentation: EMR Example #1 EMR Example #2 Electronic Controversy Physician Perspective: Gadgets 3:45-4:15 Trauma Benchmarking Participation 4:15-5:00 National Hospital Benchmarking Participation Breakout Session B: 2:15 5:00 Successful Trauma Registry Management Breakout Session C: 2:15 3:45 Injury Prevention Programs 3:45 5:00 Building an Electronic Medical Record

Thursday, November 7, 2013 7:00 Registration and Continental Breakfast Trauma Medical Director Course The medical leadership skills needed in today's trauma centers are best gained by sharing the experiences of others. This course is targeted to current and aspiring trauma medical directors who want to learn how to improve operations in their trauma center and exert control over their trauma surgical practices. The Faculty will deliver core principles for the leadership and business skills needed to succeed in our turbulent healthcare climate in which trauma functions. Participants will enjoy a collaborative and case-based learning environment. Each participant will leave with readily employable tactics to improve efficiency, fiscal performance and clinical management in their program. This course features brief presentations of core principles followed by case discussions. Practical and immediately usable solutions to common problems experienced by all directors of Level I, II, III and IV trauma centers will be the outcome of this course. The course is limited to 30 participants. CME s will be available upon request. COURSE AGENDA Friday, November 8, 2013 7:00 Continental Breakfast 8:00 Introduction to Trauma Director Course: Course Concepts John Fortune, Fletcher Allen Healthcare 8:15 Leadership & Communication: Representing Trauma in Meetings, Media, Grand Rounds & Finance Craig Rhyne, Covenant Health System 9:15 M & M /Peer Review Michael McGonigal, Regions Hospital 10:15 Break 10:30 Medical Leadership: Outreach & Marketing Michael McGonigal, Regions Hospital 11:30 Networking Lunch (provided) 12:30 Advocacy Reimbursement Update Lisa Tofil, Holland & Knight 1:45 Attaining and Maintaining Your Designation/ Verification: Common Problems Marco Bonta, Riverside Methodist Hospital 2:45 Break 3:00 Building the Inclusive System: Roles and Relationships with Level III and IV Trauma Centers Doug Schmitz, Cheyenne Regional Medical Center 8:00 The Multidisciplinary Team: HR Management Jorie Klein, Parkland Health & Hospital System 9:00 Building Your Trauma Administrative Team: Hospital CEO Expectations of the Trauma Medical Director Robert Falcone, Ohio State University 9:45 Break 10:00 Surgeon Coverage & Compensation: Creating Solutions Samir Fakhry, Medical University of South Carolina 11:30 Networking Lunch (provided) 12:30 TPIPS: The Trauma Program Manager s Perspective Jorie Klein, Parkland Health & Hospital System 1:30 Trauma Finance: How to Position Your Trauma Center for Economic Stability Robert Falcone, Ohio State University 2:15 What Makes a Great Trauma Director: Role Transition and Responsibilities John Fortune, Fletcher Allen Healthcare 3:15 Questions & Answers, Feedback, Take-home Lessons 3:30 Adjourn 3:30 Trauma Practice Management Billing: Structure & Strategies Samir Fakhry, Medical University of South Carolina & Diana Rick, D.R.S., Billing Professionals 5:00 Adjourn

COURSE REGISTRATION Early Registration ends October 20th, 2013, thereafter add $100.00 to total fee. TCAA MEMBER Admin/RN/Other Physician TCAA Annual Meeting November 5-6, 2013 $375.00 $575.00 Finance & Business Course November 7, 2013 $295.00 $495.00 Trauma Medical Director Course November 7-8, 2013 Class limit 30 PHYSICIAN ONLY $1,000.00 FEES FOR NON -MEMBER NETWORKING EVENTS Poster Reception Guest ($30/guest.) Admin/RN/Other TCAA Annual Meeting November 5-6, 2013 $495.00 $750.00 Finance & Business Course November 7, 2013 $495.00 $750.00 Trauma Medical Director Course November 7-8, 2013 Class limit 30 PHYSICIAN ONLY $1,500.00 New Educational Offering - Introductory Price for All Attendees Trauma Center Management Course November 7-8, 2013 $525.00 Please check if additional guest is attending. Annual Business Meeting Guests ($40/guest.) TOTAL: *The difference between Member and Non-Member tuition will be applied to TCAA membership fees if hospital joins within 90 days of conference attendance. Choose one Track Only FOR FINANCE & BUSINESS COURSE PARTICIPANTS: Basic Track Advanced Track Physician FOR TRAUMA CENTER MANAGEMENT COURSE PARTICIPANTS: Nov. 7th: A B C Nov. 8th A B C Tuition does not include lodging. For hotel reservations, call The Peppermill directly at (800) 282-2444. Ask for the Trauma Center Association of America rate of $99/night. Deadline for reduced rate reservations is October 14, 2013. For conference fees- *Make checks payable to Trauma Center Association of America (TCAA) For credit card payments (VISA/MC only), please call the office.* Payment of tuition not necessary for submission of registration. Name and Credentials (MD, RN, etc.) RN License # / State MD Last 4 digits of SSN# Job Title Facility/Organization Address City, State, Zip Work Phone and FAX E-mail CANCELLATIONS: Full refund is available before October 30th, 2013. No refunds are issued thereafter. Substitution registrations from the same facility are accepted. If there are not an adequate number of participants by October 30th, 2013, courses are subject to cancellation. Registration will be available online after July 31, 2013 at www.traumacenters.org or Fax/mail registration to: TRAUMA CENTER ASSOCIATION OF AMERICA 1155 South Telshor Boulevard, Suite 201, Las Cruces, NM 88001 Phone: 575-525-9511 Fax: 575-647-9600 Confirmations will be sent upon receipt of registration form.

1155 South Telshor, Suite 201 Las Cruces, NM 88101 www.traumafoundation.org CME s Accreditation This activity has been planned and implemented in accordance with the Essential Areas and policies of the Colorado Medical Society through the joint sponsorship of Wyoming Medical Center and the Trauma Center Association of America. Wyoming Medical Center is accredited by the Colorado Medical Society to provide continuing medical education for physicians. Wyoming Medical Center designates this live activity for a maximum of 28 CME s AMA PRA Category 1 Credit (s). Physicians should only claim credit commensurate with the extent of their participation in the activity. Disclosure As a provider accredited by the ACCME, Wyoming Medical Center s Office of Continuing Medical Education must ensure balance, independence, objectivity and scientific rigor in its educational activities. All faculty are required to disclose relationships with commercial grantors or products. Faculty are also required to identify trade names, investigational products, and unlabeled uses that are discussed in their presentations. Disclosure will be published in course materials so participants may formulate their own judgment regarding the presentation (s). Nursing CEU s Applying for a maximum of 28 contact hours of Nursing CEUs for the Trauma Center Management Course, Trauma Finance and Business Planning Course, and the TCAA Annual Meeting through the California Board of Registered Nursing. * Be sure to provide your RN License Number on your registration form to ensure proper credit is given. TRAUMA CENTER ASSOCIATION OF AMERICA TCAA Annual Trauma Conference Reno, Nevada TCAA Annual Meeting November 5-6th, 2013 Trauma Finance & Business Planning Course November 7th, 2013 Return Service Requested New Trauma Center Management Course November 7-8th, 2013 Trauma Medical Director Course November 7-8th, 2013 ASSOCIATION OF AMERICA TRAUMA CENTER ASSOCIATION OF AMERICA A 501(C)6 NON PROFIT TRADE ASSOCIATION The Trauma Center Association of America (TCAA) formerly known as the National Foundation for Trauma Care (NFTC) is a non-profit trade association dedicated to securing the economic viability of trauma centers and systems across the country. The Association s mission is to foster the development of a national system of trauma care so that access to excellent care for the seriously injured is assured. TCAA s 280+ members receive education on best practices, advice on trauma finance and system development, access to the most comprehensive trauma database, and linkages to other trauma centers and systems. Members include 257+ trauma centers in 45 states and 13 state/regional trauma agencies responsible for trauma system development and oversight. The TCAA Board of Directors include the most qualified and influential professionals in the trauma care industry. Board membership includes representatives from CEO s, trauma surgeons, trauma nursing, trauma system management, and government relations representatives. These leaders direct the TCAA in all member initiatives and TCAA national advocacy efforts. The Association also has seven established Committees that actively determine member services and activities. These Committees, consisting of representatives from TCAA member trauma centers, include: Advocacy, Development, Disaster Preparedness, Education, Injury Prevention, Pediatrics, Reimbursement, and System Management.